Anaesthetising an addisonian

Re: Anaesthetising an addisonian

Hannah Wynne Richards — Tue, 03 Feb 2015 12:26:35 GMT

I really would use antibiotics on this one. However sterile your op, the preds will delay healing and supress the immune response - and you're only a step away from meningitis.

Wynne

Re: Anaesthetising an addisonian

Linda Filshie — Tue, 03 Feb 2015 12:00:58 GMT

Thanks all - I'll go with pred pre-post but I'll leave the ab for now!

Re: Anaesthetising an addisonian

Hannah Wynne Richards — Tue, 03 Feb 2015 11:35:13 GMT

I'd give pred supplementation and COVERING ANTIBIOTICS

Wynne

(Collander on head..............yet again)

Re: Anaesthetising an addisonian

Michael Woodhouse — Sat, 31 Jan 2015 22:58:02 GMT

I claim no great expertise, but I've anaesthetised 3 dogs with Addisons and only dispensed pred 'if needed'. It never has been. One of those was at college and they were incredibly risk averse, yet didn't give steroids unless needed.

Re: Anaesthetising an addisonian

Niall Taylor — Sat, 31 Jan 2015 22:47:41 GMT

[quote user="Linda Filshie"]Also what is the advice re prednisolone supplementation peri-operatively - it's obviously a physiologically/psychologically stressful event (though she is fine coming in for routine visits/blood samples) but I don't want to retard healing[/quote]

You have to be alive to be able to worry about retarded healing!

Give the prednisolone; it might save her life. The alleged detrimental effects will be absent or vanishingly small.

Niall

Re: Anaesthetising an addisonian

Kate Richardson — Sat, 31 Jan 2015 13:44:01 GMT

I tend to dose with prednisolone starting 24 hours prior to the GA and continue for 48-72 hours post op. At physiological doses it won't retard healing. And usual dosing with the daily Florinef. IV fluids for the GA and adequate pain relief. Probably keep in hosp overnight post op for obs. Otherwise GA protocol that you would use normally